Individual
MISS KENIDEE A MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1824 S VAN BUREN ST, ENID, OK 73703-7903
(405) 230-1169
(580) 540-8966
Mailing address
1106 COVENTRY RD, ENID, OK 73703-3146
(405) 230-1169
(580) 540-8966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22020
OK
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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